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064-180-029
FAILURE TO FINAL SINGLE FAMILY 11/8/93 / J �, 64-18-29 2070-90B,P,E,M ROZA & MITCHELL"" 4 rn ie Rd Ma r; 1 503 Ca eg glia (new single family) 64-1 29 , Permit #3195-'91B (p 1st renewal/2070-90)- 064-18-0-029 9 -3142B +� 1 ROZA & MITCHELL 14503 Carnegie, ,Magalia' 2nd renewal/90-27 0.1/Ir' 064-180-029 94-0751B-, ROZA, TOM 14503 CARNEGIE RD., MAGALIA COMPLETE BP#2070-90 < �( i C 'o,q t .i O r_ - u A L ESIDENTIAL b4 fid -29 {2070-90B,P,E,-M �R0ZA «= MITCHELL 1450 -3 -Carnegie Rd, Magali�a______ (new single family) � t2�-q 51 GM" • evf�tcF,o� F OFFICE COPY Address M Y Date ELECTRIC Meter By Date JOB FINALED (Date) 2 Z ` Signature zz- IJ J=OK• 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL Date UND RFLOOR (Plans) OK except #'s Z Hing -Setbacks -Easements- lood-Slope F., Main; Soils-Elec. d.- /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd: ,�Z Fig. Depth 4. Ft9_ Porches & Decks; Soils -Steel-/ /Ftg. Depth ,temwalls, Main; Steel-Blockouts-Wrapped r . Stemwalis, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped ( iers-Fireplace Ftg.-Steel ,, 9.-O'GGV.; Fall -Fitting -Test -2 Way C/ Sewer Test -t_Q�::-®as Pipe; Size -Anchors V' Water Pipe; Test -Anchor -Regulator -Service Test 1VElectric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. w- 'Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 of Date Card B-1 Date — (% Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s W. Water Htr.; Vent -Access -Combustion Air -Baffle 1 Water Pipe„jest & Anchor -Nail Protection 1aA.W.V.; Test -Fittings &Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date -V. LS •'/,Card B71 641 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2?,!!�ixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24! Size Boxes & No. of Conductors -Stapled 2 ex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fastners-Boed_-CX*&&iter) 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size 40 ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes '5 No 30-'S'ervice-Riser Conductors & Ground -Main Disconnect 3X Equip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light Smoke Detector Date 1I Card B-1 C f J Date Card B-1 Date $ Card B-1 C e ' Date Card B-1 Date MECHANICAL Permit OK except #'s 34. .C. Ducts Insulation & Support . Vent Fan; Exhaust above insulation 6. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date IL AL II Card B-1 C 7 jJ, Date Card B-1 Date :n,'JAyy0 Card B-1 ,�J Date Card B-1 Date FR"ING (Plans) OK except #'s 39. Sils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs- -Tub Headers & Beam -Size LB Ingle & Duplex) Date FRAMING (Continued) 4 . Hangers -Post Caps -Anchors -Connectors 4 . Cing. Joist-Rftr. ties- Pu rlin —roof BracfTru -Shthng.-Rfng. ireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 51. Property Line Firewall & Openings J Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54: jKywood-iw-R-oof Qverhang-Attic Vents; after Outriggers 56. -Stucco Mesh -Drip Screed -Fd. Vents-Uhderflr. Access V. Glazinq Area -Glass Protection -Skylights -Plastic. 58. ,%hear Walls; Nailing -Bolts / ., 56' Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date I .II• if Card B-1 C 3 4V Date Card B-1 Date 2, j `{ 9/ Card B-1 L b✓' Date Card B-1 Date FINAL Plans OK except #'s 61. Ext. Door & Sidelight Protection -Landings 6242<ke Detector 6 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6Ae,Sedro m Exiting F.I. & Bath Fixtures & Tub Access -Spa ,6T,Stairs KailQ Fireplace or Stove651earances- earth 6 ec. Outlets at Wood Panel; Int. & Ext. 7 ' . ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance �/1 Elec. Outlets t Receptacles at Kit. Coun e toFt Garage Fire Door; Swing -Landing _ loser \J Wtr. Htr. ant Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Flo -Mech. Protec i 7 ., Elec. & Mech. Equip. Listed for Location Elec. Receptacles i Garaae: 1G TV'Romex Protection 7 sulation-Foam-Looked in Attic 9+-f€s L Guard Rails & Dec W156nstruction-Post aps ZYFdn. Veotaog-Crawl Hole Door -Drain€& Wood -Earth • Clearance Looked under Floor W_r si`• Following instld.; Drive es ❑ No; Walks O Yes o; Planters ❑ Yes o P -lents Above Roof; PI ppliance-Fir ce.-Clearance to Openings 84. Cd;T xterior Elec. Trim; G.F.I.eceptacle nderground entilation Throughout House ass Protection 88. Corrections !;P�revious Inspections 89. Gas T eters Tagged; Gas -Electric 90. iter & Sewer Connected -C/O to Grade -HD Approval 9 Energy Compliance Certificate -Other Certificates o a - Date IIJa Card B-1 L Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=OK O=Not OK' =N theadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE 'BUILDING DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 53,8-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE o r 05;, PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work v is completed. if you have any questions pertaining to this matter, or need additional explanation, y please cot this office immediately. r ate�cp CjL. Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 90 -gr, OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above a#dress and should be corrected. Please notify this office when correction of work is comple kd. If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. Date Inspector REV 10/92 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R17 :t 5P---WV2 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1?f1'LMtr !FxC� 2- �-IN2t. 1��2nntt O(L 0 TA(NI 'Pt tZ r TO COM PI £ ri- Vj/.N /O I A\/ 5 - Date Inspector /J�-� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 9s--91 OWNER / PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 01<1- 01.015 S'Jf1 0C/ -�`t a -� yea r VO(A t-Ar—e ho4r T trd OT �k ►S V(`a I 8'/y,'FZ - tplpAs CoNfQc o(. os C or-> ccs wk Date y�2 Inspector REV 11/81 OUNTY OF BUTTE DEPAR ENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or eed additional explanation, please contact this office immediately. C o A Q rt LjS5eS ALOCA )6/?&e o.f CRL Fa�i�i J -,i C A10co "t )./?f -(I*,. /0 _ "- � < 1, -7 . �-�i,'•- -N ,ft is c<" I v" r Date / 5 Inspector /�� .. -. -. �. .-....ewf-•...-•ryc•wv^+-.r..«��w...�'yw a•rw.. `l�a.,,•�.�..�. �,�..- c-�.�":-..+•mss �. .,,yasa-. COUNTY OF BUTTE �o►�'<< DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r3 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 g� CORRECTION NOTICE 1,1Ig A/ V -A -e-1 Z - 9 o . ER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Rn v J 4 'to")2'�' /d/./ S 411 /.�iocct�Q�1. 4. 1 r I • Date v n� Inspector _ COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 020 V !UA/AIC - PCDAA A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. l Date // Inspector r COUNTY OF BUTTE ' DEPARTMENT OF -PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 1 747 Elliott Road, Paradise — Phone: 872-6307 ORRECTION NOTICE' , z07C) OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance. exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Z-0 a N Date ���� In I `pector COUNT* OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 64-180-029 , ZONING BUILDING PERMIT OWNER TOM ROZA TELEPHONE 873-0188 SO. FT. OCC. BUILDING VALUATION 1,5.00 OWNER S MAILING ADDRESS PO BOX 1613 MAGALIA, CA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14503 CARNEGIE RD PERMIT FEE $ 55.00 MAGALIA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFXX Duplex ElMobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TTFG W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities O Installation CIOtherjq Describe Work: COMPLETE 2070-90 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C SFT,O. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1:0`0 Ex. Occup.FIXED OR (OUTLETS (RESIDRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with .such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou i consequence of the gr nting of this permit. X Date- _A&, ure Of Applicant- O Ow er ❑ Contractor Agent Sina An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 "AZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Q By Date Q�v PERMIT EXPIRES ON ZZ/ 2 /J (gate) Receipt No. 156669 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTTE�: DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - bROVILLE, C'OLIF IA95965 - TELEPHONE (916) 538-7541 PERMITAPP ICATION DATA SHEET OWNER 9 Q 7,-�A A. P,.No. �_N�d`� Proposed Building Use-l%M ",L216! ZO7O --�TVBuilding Inspector Date V 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or\*Tsuance: X; DATE RECEIVED By 1. All items have been submitted . ................................... . . 2. Plot plans, 3/4 sets,4signed by preparer of plans . ........................ . 3. Complete plans, 3A sets, signed by preparer of plans. .................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2'sets. ........... 10. Fees of $............................................ 11. Impact fees as shown on attached schedule. ........'...................... . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15.' City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . P,;4 spectiion request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification ; Certificate of Workmans Compensation Insurance. ....... . Owner -Builder Verification (Given to owner , Mail to owner :......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......... . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . 28. Mobilehome utility clearance . ....................... ................. 29. Documentation of legal access . ...................... .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ................. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation OV4���5%�// Acreage Applicant Dat Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). , Ln j 1. Index permit for above items No. °` t 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works c Or* alnliteir@@Ik. SERVING THE INDUSTRY WITH QUALITY SINCE 1900 V READYMIX ROAD MATERIALS • BUILDING MATERIALS AGGREGATES • s. CALIFORNIA PRELIMINARY NOTICE INFORMATION The outline below is provided for your convenience in obtaining information for the California Preliminary Notice as set forth by California Civil Code. ; Owner's Name Owner's Address City Zip Gen] Contr. Name Gen] Contr. Address City • Zip Lender's Name Lender's Address City Zip Bonding Company Address City Zip JOB INFORMATION Job Address (St. No.) City Tract Lots Type of Job Customer P.O. No. Job Phone No. Special Notes R COUNTY OF BUTTE Department of Developmer.' 8e Building Division `�'`*7 Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I. (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed': Property Owner /` V Social Security Number. Date / / l�9l4� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and .returned to our office before we are permitted to issue the permit. q - C) q1 OwnerPermit No. : ENERGY C R R T I F ICAT 1 0 N 14503*Carnegie, Ma alfa C . a. A. P. 11o. DESCRIFHON OF INSULATION .ROOF 0 flutteriAl 'Co - Brand No -me; 6 AL Thenw.1 Resistance (R. Valme) IA.-... 1EXTF:R*10R;'WAJ-1 MateriA pap�t Brand Neine w ie—*' ThOrMELI Reslstawce(lt Value 'Uhi.e.6 s13(inches) CEILINGI' Butt or BLanket Type Brand Nvine QU/e-, Thic kn6iis ( triches) Ig�'t TherwA Resistance(R Value). e I. Type Brand Neme miniTmitih rlitckne95 (Inches) A Number of Bags__ Wt. per bitg ii,. Aredic.o%rered(ft. TherlyWl Resistance(R Value),_-_,_,_.__.,._ F-LOOR, -Ei.EVA1TD FIBERGLASS BATTS Brand Name OWENS-CORNING Thid"knenq (fitches) 61" Thermal Realstance'(11 Value)- -R12 FLOOR, STAR Brand Mime ,11 (Ah eo 9 tic i e s Thermal Resistance(R Va1%te)_.....- FOIJI-MATION WALL Ila L e kialBraidName It tl Resistance(R Value) Th1dknet;s(inches)__-- I n; ,Oa a Atistalled in the above building 1'. hereby tortify that the above int o ij, conformAtIC0 With the State of califlpr"t* Energy Requirements. .1N5AJLA*TI0N CO.-, INC. 499150 1 NAME/OWNER STATE CONTRACTOR'S LICUISi 50 March 10, 1995 S'(.Glq TURF OF INSTALI.A.. 1 4 PL ICIATOR DATE I hereby I , cc]--tifY the above insulation,pnd all required items as shown on the Fluil n -(I.J'p, bepa.rtment approved plans and attachinents have been instatlod as required by the State of California EAergy Requirements. Al.l. e(jul.pnient , devices and materials are of the quality prescribed or are speciff.cAlly approved. by the State of California. (P ' F-'IUJ NAHE/01MER fease print) STATE CONTRACTOR'S LICENSE NO. NF - — ----- DAIT ot, Ir R4AL, 11:5R�ACTOR7 IER BUILDING - PRIOR 1-0 Fl. CRIATH-UCATE mus,r BF: ON FILE WITH THEDEPARTMENT -NG IM3111KCTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILD] :NG 1984' H WS,.. Eutte ount BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 December 27, 1993 Thomas W. Roza, Etal Gregory P. Mitchell / P.O. Box 1613 Magalia, CA 95954 RE: Building Code Violation A.P. #: 064-18-0-029 14503 Carnegie Road, Magalia Dear Mr. Roza & Mr. Mitchell: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of previous corrections and failure to obtain final- inspection prior to occupancy and permit expiration for const- ruction of single family residence. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Yours very truly, MCV:dms Mi hael C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor VIOLATION CHECK LIST .A.P. # 064=18=0-029. Address. 14503 CARNEIGIE-RD, MAGALIA Owner - Owner's Address aga is Owner's Phone No. - Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority -No. 3:. Failure to final single family Specific Plot Plan with C/V Noted yes no Penalties Required 1st. Notice Sent 12/27/93 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action s Eatte Count Greg Mitchell Tom Roza P.O. BOx 1613 Magalia, CA 95954 Dear Mr Roza & Mr. Mitchell: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES i CO)WY CkNTtn onivto .. oRoVILLL, CAL-IKUrftA n590U�3:10'/ TULPHONL: WIN N 38 7541 C AX; 19101 530=2140 September 1, 1993 RE: Building Permit #92-3142 Expiration Date 8/9/94 A. P. # 064-180-029 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: © Permit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $ .00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. 01 No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work' has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Paradise _ office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Attachments: LXJRenewal Application Owner -Builder Information FTIOwner-Builder Verification Yours very truly, j' J.F. Glander Manager, Building Inspection Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 COUNTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUELDING DIVISION 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 TOM ROZA P 0 BOX 1613 MAGALIA CA 95954 RE: Permit Application to -complete DATE: 11/16/94 A.P. # 064-18-0-029 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet 77Mwner-Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Develcpment (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of riorkmans Compensation Insurance. kfft-Owner-Builder Verification Form. Recordedpry of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 501r subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Please sign the owner builder form and mail back to us so that we can issue the permit to complete.till Uw1lel builder form as mailed to you s not returned to Thi-, thi-, hniisp is being occupied without a ti.nai inspection, pleas take care of this matter as soon as possible to avoid Code Enforcement. Should you have any questions concerning the above, please contact Donna Sperling of this office. MCV:ahb Y rs very tr ly, i Mic.ael C. ieira, C.B.O. Man ger, Building Inspection 4/COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'- Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND. PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 064-18-0-029 ZONING nT1 BUILDING PERMIT OWNER TOPHI ROZA (ox GREG MITCHELL TELEPHONE 873-0188 SO. FT. OCC. BUILDING VALUATION 2ND nT: T•' OWNER'S MAILING ADDRESS PO BOX 1613 MAGALIA 95954 CONTRACTOR'S NAME O'vPNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee 2 FEE $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE1450355CARNEGIE RD MAGALIA Permit tee $ 186.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF NX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 2ND RENE`tJAL OF 111RUIRXX91 2070-90 �IRT PI195-A1) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury- =C&&&l `: ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ` License .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code or this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 3.64sq.ft. NEW CONSTR ULTI.OUTLET NO N•R ESI BRANCH CIRC ITS @ 5 00 POWER APPARATUS n (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIC.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 H I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare un er penalty of perjurycheck one : ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating rCooling LHood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Cc u yin consequence of the granting of this permit. X Date signature of Applicant — Owner � Contractor ❑ Age ❑ An OSHA permit is require or excavations over 5'0" eep an emolition or construct- ion of structures over 3 stories in hhe,iigght. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 186.50 HAz I DFEES I IMP I FLOOD cDF PARCEL PD HD IssuE This permit is hereby issued under the sions of the B to Cou Code and/or work indic or which fees R OF PUBLIC By P T EXPIRES Date applicable provi- resolutions to do j have been paid. WORKS DatdCJ'-/Q�y' Receipt No. I F / r / D --� . WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department;of,Piiblic Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: 06 � lj--- o -02-? Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1_. I personally plan to provide the major labor and materials for construction of the proposed property.improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person . (firm)- to- provide the proposed construction: Name . Address City Phone Contractors License No. - T. I plan to provide portions of this work, but I have hired the -following person to coordinate, supervise, and provide the major work: .. Name . Address City 'Phone Contractors License No: 5. I will provide some of the work but I have contracted (hired) the following --persons 'to .provide the work indicated: Name Address Phone-- Type of Work Signed: Property Owner 4n, Social Security Number % Date 9 /%C% NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. . This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY'CENTER DRIVE - O.ROVILLE, CALIFORNIA, 95965 - TELEPHONE (916) 538.7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET �1�7 4`6 Z"i cr e_ A. P. No. Building Inspector Date 1oe S At time ofrmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ',// DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ..... . Pre -Inspection requeis 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date q/ %'' 2- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f/ f3 M 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AN-PtRMIT — PERMIT NO. ASSESSOR PARCEL NUMBER - ' 64-18-29 ZONING RTI BUILDING PERMIT OWNER TOM ROZA & GREG MITCHELL TELEPHONE — 895=374- 2— SO. FT. OCC. BUILDING VALUATION. OWNER'S MAILING ADDRESS Y7970/77 PO BOX 1613 MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ a FEE $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 14503RESS CARNEGIE RD MAGALIA Permit tee $ 181.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 1ST RENEWAL OF BP#2070-90 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW m CONST. / DWELLING OCCUP.ACC. BLDGS. ) OR ADDNS, l '/xdsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES z0930c SALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 F_ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against ,all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 4/ Date0 Signature of Applican — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ — 181.50 HAZ. I CUA PARK I SCHL I FLD I COF I PAR I PD I HD. ISSUE. This permit is hereby issued under the applicable provi- sions of the Butte County•Code and/or resolutions to do work indicated above fo which fees have been paid. IRE F PUBLIC WORKS BY �`— Date PERMIT EXPIRES Date R—__A9 Receipt No. /' WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD-APPLIC COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORT S - BUILDING DIVISION 7 COUNTY CENTER DRIVE,- OROVILLE, CALIFORN 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIC413W.DATA SHEE - ' Permit No. � p M Q 2 /a __ -- �` u y OWNER A. P. No. Q Proposed Building Use 1Sr "SAW -VL �A t l di g Inspector �� '� Date I ` 60 fI At time f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ..........:.............................. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid . ........ . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No.,_,,Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: ' %Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other ' a _ Applicant_ Date %e�!� Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. { 2. Additional items required: lit 14 a Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold Viinhh —File cabinet �% _AP folder • Copy—DPW r AFAW41 i / ,5 0�,' %K i _ , COUNTY OF BUTTE - Department;of PubliS Works 7 County Center Drive ;"Oroville', CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. -1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. utteCounty -- LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director .. •'; =ri"+ ' 7 COUNTY CENTER DRIVE # OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY October 1, 1991 Deputy Director Tom Roza RE: Returned Check 4, 6. AOx-1613 (A.P. #064'-180-029) Magalia, CA 95954 Dear Mr. Roza: Your check #240 for $181.50, which was written on September 10, 1991, was returned to us for insufficient funds. These fees were paid for the lst renewal of your building permit #2070-90 for your property located at 14503 Carnegie Rd., Magalia. Since this building permit was processed you will need to replace the check ($181.50 + $10.00 service charge = $191.50). Payment must be made in cash, money order, or cashier's check. Should you have any questions concerning this matter, please contact Anne Brandel of this office at (916) 538-7541. Yours very truly, William Cheff Director of Public Works J.F. blander JFG:ahb Manager, Building Inspection DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY October 1, 1991 Deputy Director Tom Rozan �" 0 /� ooX tj�/`� RE: Returned Check (A.P. #064-180-029) Maga 1 i a, CA 95954 u(�„s(?N{ jola(Q,l Dear Mr. Roza: Your check #240 for $181.50, which was written on'September 10, 1991, was returned to us for insufficient funds. These fees were paid for the lst renewal of your building permit #2070-90 for your property located at 14503 Carnegie Rd., Magalia. Since this building permit was processed you will need to replace the check ($181.50 + $10.00 service charge = $191.50). Payment must be made in.cash, money order, or cashier's check. Should you have any questions concerning this matter, please contact Anne Brandel of this office at (916) 538-7541. Yours very truly, William Cheff Director of Public Works raw J.F. Glander JFG:ahb Manager, Building Inspection 4w Filo No. BUTTE COUNTY (For Action.1, 2, 3) Public Works Dept. (For Information if Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp, Admin. Design Engr: Bridge Engr. Constr. Engr. Surveys Mopping Transp. W gelqAlps 4— 30 41 4e+ M MEMORANDUM T0: /"�i4�� FROM: ELAINE FREITAS, BUTTE.000NTY TREASURER DATE: g1191g1 SUBJECT: CREDIT DEPOSIT CHECK . ----------------------------------------------7------------------ A check deposited b'y your department has been retu-rued by the .b.a.nk and cannot be redeposited. A copy of the check is enc.lose_d.. _Lt will be c.h.arge.d back t.o you an a credit deposit within t.h-e next two weeks. Within th-e_ next three w.orkin-g days, please provide the info-rm�a-- tiion as to wh.i ch fun -ds to charg-e. If we are not provide -d- writ -h the information from you, we will charge. the check to the f-u.n.:d we feel is correct. You can then verify the credit deposit w.he.n received and if the fund is incorrect, process a transfer. The procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. If you have any questions, please call me at (538-7350) ----------------------------------------------------------------- TO: ELAINE FREITAS--TREASURER'S OFFICE AMOUNT: /,�l::S �� MAKER: �E,v1!' 07 AMOUNT: �. CHECK:%� FUND #: NAME AND DEPARTMENT%� LGA 5,,���` f t rJ�•-� DATE 9 J�U I . COUNTY OF BUTTE AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT No. 26997 OROVILLE, CA RECEIVED FROM TREASURER DATE 9/24/91 DESCRIPTION INV.# FUND TITLE FUND DEPT. ACCOUNT -CASH .-AMOUN_T- :. 'CODE CODE CODE •CODE ------------------ ----------- -------------- ------------------------------- '6 --CREDIT DEP.-- •0.00 CKS RET BY-BANK '0.00 ` --LERK ; 4.00 231 NORMAN GENL 0010 4211104 101001 <-18.00> 1094,LARIMER „FORM SALES 0010 4612310 101001 < -13.20? -.SAME SALES TAX '9990 280 101001 <* -0.80? RECORDER: 0.00 5GO-MANNING GENL 0010 4711903 101001 < =1.00> PUBL WKS: 0.00 - 240 ROZA BLDG INSPC 0090 4210500 101001. < -181.50:• DA-FSD: 0.00 107 GRAMMER FAM SUPP TR, 1150 280 101001 < 40.00> - 1037WRONEK FAM SUPP TR 1150 280 101001 < 30.00> MCMC-FAR: 0.00 -1.1.9 WEBER PARA JUD SUS 1001 280 1011212; -24.00; SCMC-OROV: 0.00 - 1689 JOHNSON ORO JUDI SUS,1001 280 1011205< -132.00• COLLECTIONS: 0.00 .645 SILVAS REST FINE 1001 280 1011240< -10.0.00> -.209 JOHNSON HUD HOME LN 0140. 4712540 101001 < 191.60: TAX COLL: 0.00 - 1122 HIGGINS CURR UNSEC 1001 280 1015890<< -323.00,' 280 SHIPPEN CURR SUPPL 1001 280 1015816{ =20.76: 0.00 TOTAL $-1,075.86 Approved by: Received by: AUDITOR-CONTROLLER TREAS RER By- By DEPUTY TREASURER OR DEPUTY _ Page 1-Of 1 SEP 2 4 ENTTJ White=Treasurer Pink=Auditor :anar)f=Depositor Golden Rod=File COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller, Califo4iia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT I PERMIT NO. 2070-9 ASSESSOR PARCEL NUMBER 64-18-29 ZONING RTI BUILDING PERMIT OWNER `Q'' TELEPHONE Tom Otchell 895-3482 WNE 'S MA LING ADDRES P.O. Box 1613 Ma alfa 95954 SQ. FT. OCC. BUILDING VALUATION 1467 R 58,680 480 M 6,720 CONTRACTOR'S NAME Owner TELEPHONE 480 -open 2,400 30 cov 2 000 CONTRACTOR'S MAILING ADDRESS Fireplace "Att 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 69.100 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 343.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 171.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 539.50 BUILDING ADDRESS .SO Carneoie Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 18 M Q iia Solar heat pump ater heater 20.00 LOT NO. 2 SUBDIVISION NAME P.P. 14 PARCEL MAP 3V3 Water piping 5.00 5.00 Each vas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 "5.00 Mobile Home S FG FW F 0.00e (+. TYPE OF WORK New ba Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 bdrm. _ Permit Fee $ -*-,-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. AOD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS, 1 ACC. BLDGS. yZ¢sgft 48,50 NEW CONSTR. ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 1 10,00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 81.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �{ 1 shall not employ any person in any manner so as to become subject 5� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating under 100 6.00 Cooling 3 ton 6.00 Hood 1 3.00 3.00 Ventilation Permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' consequence of the granting of this permit. X Date Signature of Applicant - OwnerW Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deepi7d demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 CONST TV E TOTAL FEE $ , ALSCH HAZ �. CUA _ PARK - �V! FL PnR, PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR PUBLIC B y PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate I E o -9-91 Receipt No. 66616 D - o +� �` WNITE-D.P.W.. Y l 90R, PINK•INSP ECTOR, GOLDENR -APPLICANT � COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 a TELEPHONE: 916/538-7541 / r ` PERMIT ArPLICATION DATA SHEET .r f _ Permit No. - OWNER11 9024 3 Mf rl-c 1 A. P. No. 6 9 > A Proposed Building Use r S/�— Building Inspector 0 Date�—� x-70 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans .... �� �3. Complete plans in duplicate/triplicate, signed by preparer of plans�� M 4Complete engineered plans and calcs, with wet signature on plan�s// l 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installat' ata including manufacturer's installation instructions. ZZ ........................................... 09 Fees of $ — —70 11. Chico Urban ees paid ....................................... Park fees pa'd .............. 3. V -a ra 61' iO School District fees paid . 14. Sanitation approval from Pa .a d .0 Health Department R_ -Q 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) !% 20. Pre -Inspection for required Pre-Inspec. requ st to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 24Owner -Builder Verification (Given to owner ❑, Mail to owner o) .... . . Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... • 26. 27. When you issue the permit, process as follows: ailIn-owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date • Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior o mit issua ce: C'rc a new item not checke e). 1. Index permit for above items No. 2. Additional items required: Y Contractor, designer, wne , was advised of above required data by_phone ail counter by/--5—.date Contractor, designer, owner, was advised of above required data by_phone_mall_cottn er by date i Plans checked by Date ` Plans approved by Date Sets of plans on hold inFil4abinet AP folder Copy—D,I� ,5 of dfo�9.. � TO: Building Department FROM: EncroachmentiPermit Section RE: Driveway Clearance / AP owner location Driveway permit a C9 A has been issued for the above property. date si ature TO. ___ Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance pa C. 6 �z -��� 9 Owner Locat on AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom hom Other NOTE *** �- Date Sanitarian T0: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner locution AP # Driveway permit "10 — e Z G has been -issued for the above property. date si ature COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �70 9 I, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ,, i 41 e TELEPHONE S– 3 1/8 Z SO. FT. OCC. BUILDING VALUATION ` S U OWNER'S MAILINGADDRE LZA L-3 yV�r C) ,b / Z O CONTRACT R'S NAME r TELEPHONE `l © CA f")s I l! y 0 . Q ? �� CONTRACTOR'S MAILING ADDRESS Fireplace C) 0 d CONSTRUCTION LENDER UNKNOWN Total Valuation $ V Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ e - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z 7 $(� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 / - Solar or heat pump water heater .G 20.00 LOT NO. Z- SUBDIVISION NAME IL PARCEL MAP Water piping 5.00 S— e-1 Each qas water heater or vent 5.00 USE OF STRUCTURE SFK Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ---' Building sewer 5.00 ,5 00 Mobile Home S I G I W 10.00e TYPE OF WORK New19 Addition❑ Remodel El Utilities[] Installation[] Other❑ Describe work: _ 3 13.ect Permit Fee $ 3 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 1 OR LE AMP ORSLESS 10.00 0 Main service EA. ADD'L too AMP 2.50 'Z,,r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&\ OR ADDNS. ACC. LDGS, I 2yZ�sgft s� NEW CONSTR ULTIB.OUTLET NON.RESID BRANCH CIRCUITS 2,50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20@50C aALM 30 FIXED PR Ex. Occup. OUTLETS IRESID )EAJ 2.00 Temporary service 10.00 /Q Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I.have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating d -C ,. U Cooling Hood 3.00 9_V__ Ventilation �— Permit Fee $ 2 j Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ __0 — HAz CUA PARK SCHL FLD PARR PD PDI HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 6� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center'Drive, Oroville, CA 95965 Phone: 916-538-7541 ' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has' been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement {yes or no) -1 e,5 2. I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indica"ted: Name Address . Phone Type of Work Signed: Property Owner Date ► - 5 o NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTB DepartPA nt of Public Works i County Center'Drive, Orovil,le, CA 95965 Phone: 916-S38.-7541 OWNER -BUILDER VERIFICATION .r Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner les4a+—Seeuxity Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM / l (One Form per Building) A. P. Number b L%" /� 9 Building Department No. School District p4^Q do City U County M Jurisdiction 1 Property Owner n '> -d ? /Zi. r ke Project Location/Address Subdivision Residential Development: ® a # of Living MHI Units r Lot Number Sq. Footage Addition (Group R) Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) M. /74--p " ( - 2 �(- �?v Buildi Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No - 1ter, School District certifies that can [out l /J v I--- treet Address City State one Number) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ p - representing square feet. School District Representative IDA& PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) RESIDENTIAL PLAN CHECKING GUIDE (S.F.,.'DUPLEX & MISC. ONLY) Bldg. Permit # CZ -0 20- f0 OWNER'S ! A.P. # J� GENERAL oning requirements: (sideyards luation. Plans signed by designer. • Energy Design and Compliance. • Existing violations on property. Items on data sheet. PLOT PLAN and number of permitted living units). omplete parcel size and dimensions. etbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map or compliance document. FAU & FAS road setback. FT.nnp PT.AN • Complete to scale plan with dimensions. • Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). uman impact glass (Sec. 5406). R uired room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, and exterior outlets (Article 210-8). ght fixtures, switches, rece tac�es, and-e_tterior rece tac es of mechanical equipment. D 6tGfG Locations of water heater, heating and cooling equipment, other gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). . Fireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 5/89 for �n�intenanc� electrWal or Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and ca_lcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN .CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). ,Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size, or split level house requiring lateral design. :' Flashing at all exterior openings. RCLUL-n Lo UVW Hl,K1l.UL I Ul�t1L, Jle►l tw iC iv► Ue i\L.ta tUFJUU0.,L1 U.l,L FOR RESIDENTIAL DEVELOPMENT. Secri.on 26-8.1. of the Butte County Code requires this acknowledgement be recorded prior to issbance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the AT OM A.M. use of agricultural chemicals, including, but not limited to herbicides, pesticides, �� and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a, priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ) .. � � OCA �4�d-�D'�'L.��,�" �� ptrl� 1"Iq� A2,177�. _ r Date: State of ) SS. County of ) PROPERTY OWNERS: On this the day ofl,-USS , '19 �Fe�, before me, the undersigned Notary Public, personally appeared ia�s.�s�>e����>•�t.��Iat.��t•ss s E] Personally known to me. Proved to me on the basis P. Me WHERTER ■ of satisfactory evidence. NOTARYPUBLIC-CALIFORNIA g, to be the person(s) whose name(s) /S . Butte County . my Commission Expires may 27,19M ■ subscribed to, the within instrument and acknowledged that f� •executed the same for the purposes therein contained. IN. WITNL'S, V�IIEREOF, I hereunto set my hand and official seal. Present A.P. No. O y-G� 9 Notary Public . . COUNTY OF BUTTt - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Tom Rozo & Greg Mitchell P.O. Box 1613 - A!agalia, CA 9.5954 RE: Permit appy -1n family A. P. With reference to the above subject: " Attached is: OTHER PHONE:: 916-538-7541 DATE July 11, 1990 #2070-90 for new single 64-18-29 Application for permit Mobilehome Utilities Installation Sheet_ Building Plans Mobilehome Installation Information Sheet-. Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in _ Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section*(DPW). sets of plans -in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,'Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approves from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing _xxtZ Recorded copy of agricultural acknowledgement statement. A 7 OTHER T marl to sPeP s to you gongggpi ^ GallgeFa4:e mieiFgy n_ -- . Should you have any questions concerning the above, please contact Linda Sexton cif this office. (538-7541 between 3--5) Yours very truly, JFG/aj William Cheff' Director of Public Works .F. Glander Chief Building Inspector STRUCTURAL ^ CALCULATIONS ' ' F O R ` TYPICAL RESIDENTIAL FOUNDATIONS , LEON BAPTIST - GENERAL CONTRACTOR ' 14645 SKYWAY ` MAGALIA, CA 95954 ' ' ( ^ ' CALCULATIONS ARE IN COMPLIANCE WITH THE 1988 EDITION OF THE UBC ` �� ��'. SIGNED.............' � DATE ----------------�.�-7---~------ ` FRANK L TYUKO�� RCE 32434 L. ^ i F L T ENGINEERING 5790 CLARK ROAD ' PARADISE, CA 95969 ' (916) 872-0254 ' . ' ~ � ' ,' _ SUBJECT: TYPICAL RESIDENTIAL FOUNDATIONS BY: FLT DATE: 3/90 JOB NO.: 0258 PROJECT: LEON BAPTIST — GENERAL CONTRACTOR 14645 SKYWAY, MAGALIA, CA 95954 FLT ENGINEERING,~._/`� 5790 CLARK ROAD PARADISE, ` SHEET 1 OP^'' 6'�`�, ~ ^ ` DESIGN_CRITERIA� . � STUD WALL, FLOOR & ROOF ARE SUPPORTED BY CONC. RETAINING—BEARING WALL ~� ' FOUNDATIONS. CONCRETE WALLS ARE SUPPORTED @ TOP BY CONCRETE SLAB AND ' AT THE BOTTOM BY A CONTINUOUS FOOTING. CODE 1988 UBC SUPERIMPOSED LOADS: . MIN. DL = .010 x (3+8) = .11 k/l ^ '- MAX. LL = .030 x 16 +.010 x (16-3) +.050 x 2 +.008 x 81=..77 k/l ., ' ` LOADING PER ABOVE IS CRITICAL FOR BOTH — BEARING (INCLUDES DL+LL) *� AND SLIDING RESISTANCE (MIN. DL ONLY), MAX. LL -ROOF ANOW) + ADD'L LIGHT ROOF DL + FLOOR DL+LL + ADD'L WALL DL _ SURCHARGE OF 2000# WHEEL LOAD @ APPROX. 3' FROM WALL 2.0/6^2 = .056 KSF -- 1' SURCH. ' CALCIS PROVIDED FOR: A. 41-0" HIGH WALL — SHEETS 2 & 3 B' 0-6U HIGH WALL — SHEETS 4 & 5 CONSTRUCTION DETAIL — SHEET 6 MATERIALS: _^. CONCRETE — ULTIMATE COMPRESS. STRENGTH — f'c = 2000 PSI @ 28 DAYS, ' REINFORCING — ASTM A615, 8RADE40, .� WELDED WIRE MESH — ASTM A185, 6% — W1.4 x W1.4 ,(16/10) , � - K' -ALLOWABLE SOIL BEARING,PRESSURE — 1500 PSF, . ALLOWABLE LATERAL BRG. PRESSURE — 200 PSF . ' i . v PROJECT : LEON BAPTIST - G.C. JOB NO. : 0258 DATE : 3/1990 ' CALCIS BY : FLT SUBJECT: CONCRETE RETAINING - BEARING WALL � _________________________________ WALL DESIGN: � ALL CALCULATIONS ARE IN UNITS/LN. FT. ` .. ' , FLT ENGINEERIN8� 5790 CLARK ROAD' _ PARADISE, ` CA' . ' (916) 872-0254l SHEET OF ,- ^ � .- ` GRADE SLOPE RATIO: LEVEL ' SOIL EQUIVALENT FLUID PRESSURE (PSF): 30 SURCHARGE (FEET): 2000# WHEEL LOAD 1 ' . YIELD STRENGTH REINF. (KSI): �^ 40 ' ULTIMATE COMPRESSIVE STRENGTH OF CONCRETE (PSI): 2000 GRAVITY LOAD - DEAD LOAD (KIP) - LIVE LOAD (KIP) 0.77 ' OVERALL HEIGHT OF THE WALL - Hw (FEET): �� .^ _�_=��_��������_ ,Tr^ 4 ' OVERALL HEIGHT OF THE SOIL - Hr (FEET): . ' 4.67 -` '. THICKNESS OF WALL - T (INCHES): 6 , COEFFICIENT - a : 1.46 ^ TOTAL EARTH PRESSURE - Fhr (KIP): 0.33 REACTION @ TOP OF WALL - Rt (KIP): 0.13 ° REACTION @ BOTTOM OF WALL - Rb (KIP): 0.20 . HEIGHT OF 10' SHEAR - Ho (FEET): 2.24 ~ MOMENT - Mw (FT -KIP): 0.16 ' AREA REINF. (IN^2) 'dl(IN) SIZE & SPA (JN) � ' ` ------------------------------------------------ _______________________________________________0.029 3,75 #4 0. 029 @ 81.4 . MIN. VERTICAL REINF. - .15 % (IN -20 0.108 MIN. HORIZONTAL REINF. - .25 % (IN^2): 0.180 , . . DESIGN REINF. - VERTICAL #4 @ 24 .. . - HO COMBINED STRESSES @ WALL k 0.10 < 1.0 PROJECT : LEON BAPTIST - G.C. JOB NO. : 0258 DATE : 3/1990 . CALCIS BY : FLT FOOTING DESIGN: DENSITY OF SOIL (PCF): 100 DENSITY OF CONCERTE (PCF): 150 ALLOW. SOIL BEARING PRESSURE (PSF): 1500 ALLOW. LATERAL BEARING PRESSURE (PSF): 200 FRICTION COEFFICIENT - Fc: 0.35 BEARING PRESSURE REDUCTION (PSF): 0 ' NET. ALLOW. BEARING PRESSURE (PSF): 1500 PRELIM. FOOTING - WIDTH (INCHES): 10.97 - DEPTH (INCHES): 6.00 DESIGN FOOTING - WIDTH (INCHES) 12oo - DEPTH (INCHES) 6.0() TOTAL GRAVITY LOAD - Pv (KIP): 1.37 INCREASE OF ALLOW. SOIL PRESSURE (%): 0.0 ACTUAL SOIL PRESSURE - Q (PSF): 1372 < 1500 SLIDING RESISTANCE - Fr (KIP): 0.31 > 0.20 SLAB REINFORCEMENl REINF @ TOP OF WALL (BAR #): MAX. HORIZONTAL SPAN OF WALL (FEET): ` DESIGN HORIZONTAL SPAN (FEET): SLAB THICKNESS (INCHES): SLAB WIDTH REQUIRED (FEET): DESIGN AREA OF SLAB REINF. (IN^2/LF): ALLOW. TENSILE STRESS OF REINF. (KSI): LENGTH OF DOWELS 4 8.65 4 4 7.27 0.029 24 8.78 - ^`^ � ^ PUT CAMEO & ' 5790 CLARK ROAD �^ PARADISE, -' CA - (916) 872-0254^ ..�� � ^ SHEET OF :. . ' ` . � ^.-. ' . � �. ,. �.` ^ �. ' ^ ' l ` PROJECT : LEON BAPTIST - G.C. JOB NO. : 0253 DATE : 3/1990 CALCIS BY : FLT SUBJECT: CONCRETE RETE RETAINING - BEARING WALL WALL DESIGN: ------------ ALL i=ALCULATIONS ARE IN UNITS/LN. FT. GRADE SLOPE RATIO: SOIL EQUIVALENT FLUID PRESSURE (PSF) : SURCHARGE ( FEET ) e 2000# WHEEL LOAD YIELD STRENGTH REINF. C KS I) : UL`i- i MAIL COMPRESSIVE STRENGTH OF CONCRETE (F'S I) : GRAVITY LOAD - DEAD LOAD (KIP) --• LIVE LOAD (KIP:) OVERALL HEIGHT OF THE WALL -- Hw (FEET): OVERALL HEIGHT OF THE SOIL -- Hr (FEET): THICKNESS OF WALT_ T (INCHES). COEFFICIENT - a TOTAL EARTH PRESSURE - F hr A I P) : REACTION @ TOP OF WALL_ - Rt (KIP) : REACTION @ BOTTOM OF WALL_ -- Rb (KIP): HEIGHT OF 109 SHEAR - Ho (FEET). MOMENT - Mw (FT -KIP),. AREA REINF. (IN"2) 4dv (IN) SIZE & SPA (IN) ------------------------------------------------ 0 . 0 3.75 #4 @ 33.5 FLT ENG I NEEP? I V 5790 CLARK ROAD PARADISE, CA ; (91 Fes) 872-0254 SHEET f OF 6 LEVEL 3 1 4•i; 000 0. 1 1. 7 5.5 6.17 LJ 1.4E 0.57 0.21 . 3(.,, 3'.1Cj ii. 31) MIN. VERTICAL REINF. - .15 % (IN"2) : 0.108 MIN. HORIZONTAL REINF. - '% C I•N''::''_:> : 0.180 DESIGN REINF. - VERTICAL: #4 @ 21 - HORIZONTAL: #4 @ 13 COMBINED STRESSES @ WALL � 0. 21 , 1 0 FL.^r ENOINEERIW PROJECT : LEON BAPTIST - G.C. 5790 CLARK ROAD ' JOB NO. : 0258 PARADISE, CA ' DATE : 3/1990 (,D 16:) 872-0254'. SHEET �- OF ^� CALC'S BY : FLT r - lit " . ` . . FOOTING. DESIGN: ^ _______________ . ^�. DENSITY OF SOIL (PCF): 100 � DENSITY OF CONCERTE (PCF): 150 ALLOW. SOIL BEARING PRESSURE (PSF) : 1500 ALLOW. LATERAL BEARING PRESSURE (PSF) FRICTION COEFFICIENT - Fc: 0.35 BEARING PRESSURE REDUCTION (PSF.): NET. ALLOW. BEARING PRESSURE (PSF) : 1500 ^ PRELIM. FOOT IN6 - WIDTH (INCHES): 12.17 - DEPTH (INCHES): 6.00 - ` DESIGN FOOTING - WIDTH 15 00 -'DEPTH (INCHES) VV TOTAL GRAVITY LOAD - Pv (KIP): 1.71� INCREASE OF ALLOW. SOIL PRESSURE ACTUAL SOIL PRESSURE - Q (PSF) : 1369 < 1500 SLIDING RESISTANCE - Fr (KIP): 0.53 > 0.36~- .' SLAB REINFORCEMENT: REINF @ TOP OF WALL (BAR #): MAX. HORIZONTAL SPAN OF WALL (FEET): 6.68 DESIGN HORIZONTAL4 SLAB THICKNESS 4 SLAB WIDTH REQUIRED (FEET) z22,o DESIGN AREA OF S ALLOW. TENSILE STRESS OF RElN� KS1) 224 LENGTH OF DOWELS (INCHES) 14.73 ' ' , �l\LtUCII to i11'W IkGltiUUI IUI<,►L J1N1GI'iGIVl V1' l►ll�llUlYLl�i/Ulilll�l,.l FOR RESIDENTIAL DEVELOPMENT 9 0- 3 3 9 4 8 r Sec+j;tfon 26-8.1. of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - - - - -- - .- - - -- - - ----._ ti The property described herein is adjacent 90-033948 ; Rec Fee 5.00 to land or included within an area zoned ; Cash 5.00 for agricultural purposes, and residents Recorded ; of this property may be subject to incon- Official Records veniences or discomfort arising from the County of ; use of agricultural chemicals, including, Butte ; but not limited to herbicides, pesticides, Candace J. Grubbs ; and fertilizers; and from the pursuit Recorder ' of agricultural operations including, 8:01am 9 -Aug -90 ; CD 1 but not limited to cultivation, plowing, - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: I 1s 19 71..x, 9,4 ljiler4_ .7�;3� �> Date: PROPERTY OWNERS: State of ) On this the day of '14m,USS 19 �JO, before mc, SS. 'the undersigned Notary Public, personally appeared County of err/' ) -T— , _;�2_ - A essssss®■■■■■s■■mss■■s■■ : E] Personally known to me. /]Proved to me on the basis P. Me WHERTER a of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA ■ to be the person(s) whose name(s) /S e' Butte County. ■ My commission Expires May 27,1983 executed ethe same to the wfor lthe llpurposes therein strument and n that contained. IN W] 1Nl-SS. os®o■sso■�■■■■®■•■■■■■■■■ WHEREOF, I hereunto set my hand and official seal. Present A.P. N E_-9� Notary Public END OF DOCUMENT w�. 1` w Certificate of Compliance: Residential Climate Zone 11 ' , .;:- :: ' Mandatory Measures Checklist: Residential MF -1R pro jest Title oZ O 7O �O NOTE- Lowrimnsidendaf buildings sub*A to the standards mus contain these measures regrdkm of the Compliance i? apprtsacb used Items marked with m asterisk (')may be superseded by more strintent compliance regttttemtnts listed D I3uildl- Permit M cn Ne Ccrufic= of Compltartci Wben this chee bat is ircorporated 'no the permit documatts, rhes features noted shaa • tI / be considered by all p:arucs as binding minimum component perfomuutcc specrratians for the mandatary mcastres Project Addrea : whether they arc shown elsewhere in the documents or on this checklist only. l'a�/1�gre. (lBy/ Date Telephone DESCR1VnON DFSIGNF3t ENFORCEMENT Documentation Author �p Enforcement Agency Use Only Building Envelope Meuures " Glass Area %G1 • §2.5352(a): Minimum ceiling insulation R-19 weuthted avenge. BUILDING DATA North ' 42.5352(bt f ooaa fill insulation manufacturer's labeled R•Valuc. Con *100r d r� _ Number of Stories East ' § exterrsioremas:t waits). wall insulation in framed waits R•I I weighted average (does not apply to • Sla sed Number of .Units �_ South o1 _f12.5352(tY Stab edge insulation • water absorption nuc no greater than 0-3%- vara capon ( Single Family Detached ( [ J Addition Alone West _(-�— tnrtsmission rate no greater Nan 2.0 perrrthncd [ ] Single Family Detached (SFA) [ ] Busting Building Skylight 12.5311: Insulation specified or installed meets California Energy Commission (CECT quality standards Indican type and form. [ l Multi-Family(MF) [) Existing -Plus -Addition T0� � §2.5352(f) Vapor barriers mandatory in Climate iones 14 and 16 only. §2.5317. InfdtratioNEafiltration Controls a Doors and windows between conditioned and unconditioned spans designed to limit nit . BL)-II.DING SHELL UgSULATIOh7 leakage - b. . /A. Doors and windows cuurL-A Component Inclliatiori Loea�lnnlCpmmertts c. Doors and windows weathcrstrippcd: all joints and penetrations caulked and sealed Type R -Value (aria to garage. =icr1. etc.) 12-5352(c): Special infiltration barrier installed to comply with 17-5351 meta CEC gtsaliry standards 4153� Wall .............. �and factory -built laces have wall..............a: Tighrritting, closeable metal or glass door _�� b. outside au intake with damper and coned Roof ............. /� (�}Cl a Flue damper and control Z No continuous burning gas pilots allowed.. Roof ............. e HVAC and Plurebiat System Measures ` Floor ............. Floor ............. � 1 52-5352(g) and i-5303' nt : Space conditioning equipmesiring: attach ealettlations. 1 j §2.5352(h) and 2.5315: Setbacicrthcrnasrat on all applicable hcasing systems. Slab Edge ..... . ' • 12.5316(x): Ductsconsut;,ed, insolled and inatlatcd per Chagrt 10.1976 UMC. GLAZING Shading Devices ' f §2.531b(b} E:htatut syivms have damper: controls. • §2.5314([): Gas-fucd space heating equipment has intermittent ignition deviCrs Glazing Area Glass Type Interior Exterior Overhang Framing Type §2-5314: HVAC equipment. water heaters. showerhaads and faucets Minted by the =-C- Orientation eOrientation $ (single, double) (yoUerblind, etc.) 6hadescreett,etc.) (es/no) (metal/Wood) i §2.53520: Water heater insulation Manka(R•12orgreatet)orcombincdintcriakatttia ff insulation (R=16 or peatu): fust 5 feet of pipes close$, to tank insulated (R-3 or greater). No rT-h ( )015 t. 12.5312(Eaccp6on 1): ripe insulation on steam and steam condensate return & recirculating piping. North ( ) ` 12.5318(dr Swimming Pool Heating East ( )_' ' ►. system has: >. On/off switch on neater. East ( ) b. Weatherproof instruction plate on heater. SOUL11 ( ) 777/ ' Q� ZC. Plumbed to allow for solar. L- � . 75 percent Ncmul efficiency. South ( ) S i 3. Pool cover. r 4. Time clock. West ( ) a 1 J'' 5. Directiocul grater inlet. verse( ) ) Lighting and Appliance Measures Skylight....... ' . §2.535zU): ^l' fightinns/ g - 25 lumewatt « greats for general fighting in Yiteheats and batl,roorrtt. Cu THE R SIAL MASS .. 0- ,1314(C)* Gas rd appliances equipped with intermittent ent ignition devie Type/Covering Area Thickness1 §2.5314(a): Refrigerators. refrigerator•frcczers. freezers and fluorescent lamp ballasts certified t t by the CEC. Indicate make and model number. (slab/exposed. tile. etc.) (Sf) (inches) Locadon/Descriotion (kitchen. bath, etc.) HVAC SYSTEMS Minimum ' 'Duct Type (£lunate, air Efficiency . tocation Duct Output ' Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) . R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: '?r ,L Btuh HOT WATER SYSTEMS Tank Manufacturer/Model# System Type Gage gas. etc.) Capacity (or approved equal) r SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) ., Special F COMPLIANCE STATEM= This o=hc= of compliance lists the building featurt S zld p: formarice specifications r ded to comply with Title 24, Chapter 2-53 and lisle 20. Ump4Z: 2. Subchspter 4, Article 1 of the California Administrative code. This certificate has been signed by dx individual with overall design re'.spcnsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequ= purcftaser of the building. Designer ' Name: . TitleJFuttz: ' Addr=: 1 Tekphone Uc. A: (signature) (date) Documentadon Author Name ' ide/Fum Address: Building Owner (signatsue) l/ (date) Enforcement Agency Nunez Ac—r• Tekphoae r� (signature) (date) Documentadon Author Name ' ide/Fum Address: Building Owner (signatsue) l/ (date) Enforcement Agency Nunez Ac—r• Tekphoae 1. Ceiling Insulation ::: `..;;•.' "..; --Effective Number of series U-valua R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 .2 -1 .1 . R38 0 0 0 U -value 4 40 -90 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 O.C8 -18 -9 -6 . ' O.C6 -11 -5 .4 O.C4 -4 -2 -1 0.02 4 2 1 O.CO 11 5 3 13 27 -52 2. Wall Insulation -9 -2 6 Single- Single - -49 -15 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 15 22 37 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 • ' -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 it 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 8 _ - Insulation in Floor -20 0 4 Number of stories 13 R -value One Two Three " R-0 -17 -8 .5 R-11 3 .2 -1 R-19 0 0 0 R-30 3 1 1 U-vaiue 18 12 -9 .---.0.60 -144 -70 -46 0.50 -120 -58 38 • 0.40 -95 -46 30 0.30 -69 34 -22 ' 0.20 -13 ..21 -14 . 0.10 -17 -8 -5 0.08 -11 -6 -4 ' -0.06 -6 .3 -2 ' O.C4 -1 0 0 . 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 0 .4 Number of stories -4 R -value One Two Three R-0 -11 -7 .5 " R-5 -4 -4 3 R-11 .2 .2 .2 R-19 .1 -2 .2 4. Slab Edge Insulation more :.SGNone SE or RSPF Number of Stories - -- R-value One Two Three • R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 • F2 facer less -15 . -5 +5 +15 •0.40 .4 3 .1 0:80 .1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 - S.1 nriltration (Air Leakage) Specification Points Standard 0 . 6. Glass Heat Loss Total ::: `..;;•.' "..; --Effective Pei cart Glass U-valua SEER Percent (peresat Stas x SC) .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 31 -21 -13 -4 4 12 29 -58 -20 -12 3• 5. 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 . 19 11 3 7 10 13 16 19 10 3 9 - 11 14 17 19 9 .1 10 13 15 ' 17 20 _8� 2 - 12 14 16: 18 20 7..Shading (Shade Open) ::: `..;;•.' "..; --Effective Pei cart Glass Raised Fbor SEER Mass (peresat Stas x SC) .. Stones - Effective rCFA One Two Three One ,Two Three 0.0 .8 .5 .. .4....2 %Glass North East South West Skylight 18 5 1 . 4 1 na 16 4 2 5 "1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3' 0 1 2 1 3 2 0 0 1 0 3 1 .1 -1 -1 .1 2 0 .1 -2 -4 -2 0 nor - not allowed 8 10 12 13 13 8. Shading (Shade Closed) 6 9 10 Erreedye Percent Glass 13 13 7.0 (Peremt Qtas x SC) 9 11 13 13 14 7.5 6 10 11 Glatt North East. South West SkYfi* 18 -14 48 -69 34 rta 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 3 .29 -40 -37 na 111 -7 -26 36 -33 na 10 -6 .23.. 31 -29 .74 9 -5 .20 •27 -25 35 8 -5 -17 23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11. -15 -14 38' 5 .2 -9 -11 -10 -30 4 -1 3 3 -7 -23 3 0 .4 -5 -4 -16 2 1 -1 -2 -1 -9 t 1 1 1 ...._ 1 -4 0- 2 3 4 3 0 9. Interior Thermal Mass .: ::: `..;;•.' "..; Interior Slab Floor Raised Fbor SEER Mass 1.1 -value (0.0371 Stones .. Stones - (&=met ducts In attic) rCFA One Two Three One ,Two Three 0.0 .8 .5 .. .4....2 .1 . ' .1. 0.1 -8 -5 3 .1 0 0 0.3 .7 4 -2 0 1 1 0.5 -6 3 -1 1 1 " ` 2--- 0.7 -5 -2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 15 -3 1 2 4 5 5 20 -1 2 .4 5 17 9 7 25 • 0 3 5 7 .7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11. 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 . 14 15 10. Exterior Wall Thermal Mass 10 Exterior Silvio- SiNw- 23 19 15 Wall 8 Fami y Family wit 18 Mass 9 Detached Attached Family 0.00 15 0 0 0 ! 0.20 10 3 2 1 3 0.40 To Cooling System Installed 5 4 3 U 0.60 3.1 8 6 . 4 -5 0.80 3 10 8 5 . 1.00 2 13 10 7 ; 1.20 1.4 13 12 8 and Attached 1.40 26 12 13 9 ' 1.60 32 10 13 :: 11... Water 1.80 iU39 1200 10 12 12 Heater 200 - 10 _ 11 _ 13 Type 11. Heating System less 1699 2199 2699 more :.SGNone SE or RSPF 3.5 0 0 0 (assumes ducts In &tele) .. ir. 12 '8 6 5 Stan of 1-6 - HP -HWR 8 5 4 -25 or -24 to -14 to -4 to +6 to 16 Or SE HSPF less -15 . -5 +5 +15 more - 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 37 -24 3 3 3 2 2 1 0.80 7.33 8- 7 6 5 4 3 0.85 7.79 13 11 -10 8 7 5 0.90 8.25 17 15 13 11 9 7 095 8.71 20 18 ''15 13 11 8 None -5 .3 Effective SE or HSPF -2 -2 (SE or RSPF x dud efficiency) - Effective •25 or -24 to .14 b .4%o +610 16 or SE HSPF fess .15 -5 +5 +15 more 0.30 275 -73 34 -56 -47 38 -30 na 3.41 -45 -39 .34 .29 .24 .18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0. 0.60 550 5 5 4 3 3 2 j 0.70 6.42 17 15 13 it 9 7 0.80 7.33 25 22 19 16 13 10 . 0.90 825 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 3 2 Zonal Control Adjustment 4.6 Wsa System Type 3 2' 2 Resistance 10 9 7 6 4 3' Odter SE 6 5 4 3 2 2 12. Cooling System e q or O SEER R -v -slue [ 191 1.1 -value (0.0371 (&=met ducts In attic) 4 Slab Edge Insulation Interior Mass/CFA Stm of 7-10 -25 or .24 In x1410 -4 Io +610 16 or SEER less •15 :.6 +5 +15 more 8.0 .14 .12 -10 -8 -6 .4 . 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 d 3 .3 .2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 120 15 13 11 9 7 5 13.0 -20 -17 _ 14 - 12_ 9 6 . a. North __ ...:. b. East . .... ...... ERedre SEER = CZl or ->y R 74 (SEER xduct effldaKT) c. South 7 x = Sum of 7-10 0% 57t' 110% Effective -25 or -24 to -14 Io -410 +6 b 16 or SEER less .15 -5 +5 +15 more 5.0 .30 -25 -21 -17 -13 .9 . 6.0 -12 -11 -9 -7 3 -4 6.6 -5 .4 -4 3 .-22 1.7 7.0 0 0 0 0 0 . 0 I 8.0 9 8 6 5 4 3 9.0 16 14 12 ' 9 7 5 ' 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 5.2 Zonal Control Adjustment 20% 0.3 10 8 7 6 4 3 i To Cooling System Installed 2 22 �_Slcries U 29 3.1 13 15 One -5 -4 -t 3 -2 -24 Two + 3 3 2 2 2 t tl7 0.9 3 1.4 1.6 1.6 T Single-Famlly Detached and Attached 24 26 26 3 32 3.5 17 32 i Unit Size (SO 4.5 Water 4.9 iU39 1200 "1700 2200 2700 Heater Credit or • 1 to to to or Type Type less 1699 2199 2699 more :.SGNone 3.4 3.5 0 0 0 or Solar ir. 12 '8 6 5 4 - HP -HWR 8 5 4 3 3 15 WSa 5 3 3 2 2' 27 POU _ "8 5 4 3 3 SE None 37 -24 -18 -15 -12 5.3 Solar -1 -1 .1 0 0 0.9 HWR -18 -12 -9 -7 3 2.2 WSa.. -25 -16 -12 -10' -8 _ - POU -18 --12. -9 -7. -6 IG None -5 .3 -2 -2 -2 6 Sclar 7 5- 4 3 2 1.7 POU 3 2 1 1 1 E None -28 -19 -1a -11 A 4.2 Solar 8 5 4 3 3 5.4 POU -10 t 3 -5 -4 -3 1.1 Mult!-Famlll (Individual units) _ 1:9 22 - 1 unit size (sf) 28 Water 3.2 699 :700 1200 1700 2200 Heater Credit or to to to or Type Type less 4199 16W 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 . S 3 2 2 4.6 Wsa 9 4 3 2' 2 6 POU 9 5 3 2 2 SE None .45 -23 .15 .11 .9 3 Solar 2 1 1 0 0 4.2 HWR --23' .-12 • -8 3 '.5 S.5 WS8 -25 -13 -8 3 .5 .__e4U_23 12 8 3 2 IG • None .3 -4 3 -2 _-5 -2 ;:... Solar' 6 .• 13 2 1 f 1 - POU 1 -0 ; 0 00 . -. E None : 30 -15 .10 '-.8 . ..3 _::Solar '18 . 9 6 4 4 _POU ; _ 4 .4-3 3.1 2 -2 Point System Summary: Climate Zone 11 . -- - --•. --- SCORE CARD Measures Point Scores = 1. CeilingInMation30 or - a R -value [381 U -value (0.0301 _ ... 2. Wall InsulationL or R-value(111 U•value(0.0981 3. Raised Floor Insulation e q or O _ R -v -slue [ 191 1.1 -value (0.0371 4 Slab Edge Insulation Interior Mass/CFA R -value [01 F2 factor [0.77] rrrs ! ■Ase 5. Infiltration Standard 0 6. Glass Heat Loss Type (doublet U -value (0.65] % Total Glaze (161 Sum 1-6 7. Shading (Shade Open) % Glass tl.lrouC•..21 ..Eff. % GIass a. North 5./ x %% 1 TYPE: 1 N%SS (U111C a 4.2. tat exposed � slab) d. West x = /.013 e. Skylight _Qx = �_ 8. Shading (Shade Closed) • % Glass SC Eff. %Glass . a. North __ ...:. b. East . .... ...... 3 x J C� x = CZl or ->y R 74 ;- c. South 7 x = 0% 57t' 110% -15% 20% 25% 30% 35% 40% 45% 50% 5S% 607. 6S% 70% n% 80% 85% 90% 95% 1100% 105% 110% 11Sr 120'. 125• 0% 0 02 0.4 0.6 0.8, 1.1 1.3 1.5 1.7 1.9 21 23 25 21 29 32 14 3.6 3.8 4 ` 4.2 4.4 4.6 4.8 • 5 5.3 107. U U 0.6 0.6 1 1.2 1.4 1.6 11 21 . 23 25 27 2.9 11 3.3 15 17 4 4.2 4.4 4.6 4.8 S 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 U 29 3.1 13 15 SI 3.9 4.1 4.3' 4.5 4.8 5 52 5.4 56 30% 0.5 tl7 0.9 1.1 1.4 1.6 1.6 2 22 24 26 26 3 32 3.5 17 32 4.1 4.3 4.5 4.7 4.9 5.1 5.3 ' 5.6 53 40% 0.1 09 1.1 1.3 1.5 1.7 1.9 22 24 26 26 3 12 3.4 3.5 18 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 U 3.6 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 52 56 5.8 6 62, 60% 1 12 1.4 1.7 1.9 L1 23 25 2.7 29 11 13 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 U 1.5 1.7 1:9 22 24 2.6 28 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 11 13 35 3.7 3.9 4.1 4.3 4.6 4.6 5 52 5.4 5.6 58 6 62 64 75% 1.2 15 1.7 1.9" •21 23 25 27 3 12 14 16 18 4 4.2 4.4 4.6 4.8 5.1 5.3 S.5 5.7• 5.9 6.1 6.3 6.5- 80% 1.4 1.5 1.8 2 22 24 26 2.8 3 3.3 15 17 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 17 1.9 2.1 23 2S 2.7 29 3.1 3.3 3.5 18 4 4.2 4.4 4.6 4.8 5 52 S4. 56 5.9 6.1 63 65 67 Wy. 1.5 1.7 2 2-2 .24 28 2.8 3 3.2 14 16 18 4.1 4.3 4.5 .4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 66 95% 1.6 1J 2 L2 25 21 29 3.1 33 3.5 17 19 4.1 4.3 4.6 4.8 5 5.2 5.4 5.5 5.8 6 6.2 6.4 67 6.9 100Y. 1.7 19 21' 2.3 25 28 3 12 3.4 18 18 4 42 4.4 4.5 4.9 S.1 5.3 55 5.7 5.9 6.1 8.3 6.5 6.7 1 105% 1.8 2 22 2.4 26 28 3 13 3.S 3.7 19 4.1 4.3 45 .4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 1107. 1.9 V 2.3 2.5 27 29 it 3.3 36 3.8 4 42 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 24 L628 3 32 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.8 6.8 7. ' 72 120% 2 2.3 2.5 2.7 29 3.1 3.3 15 3.7 3.9 4.1 4.4 4.8 4.8 5 5.2 5.4 5.6 SO 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 23 2S 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4J 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 . -- - --•. --- SCORE CARD Measures Point Scores = 1. CeilingInMation30 or - a R -value [381 U -value (0.0301 _ ... 2. Wall InsulationL or R-value(111 U•value(0.0981 3. Raised Floor Insulation e q or O _ R -v -slue [ 191 1.1 -value (0.0371 4 Slab Edge Insulation - or R -value [01 F2 factor [0.77] 5. Infiltration Standard 0 6. Glass Heat Loss Type (doublet U -value (0.65] % Total Glaze (161 Sum 1-6 7. Shading (Shade Open) % Glass SC ..Eff. % GIass a. North 5./ x %% b. " East C. $011th _ _ / O x 8 - x = = 7-7 -4.70 0- d. West x = /.013 e. Skylight _Qx = �_ 8. Shading (Shade Closed) • % Glass SC Eff. %Glass . a. North __ ...:. b. East . .... ...... 3 x J C� x = CZl or ->y R 74 ;- c. South 7 x = d. West _ (a x = r• o e. Skylight x " _ -_- - 9. Interior Thermal Mass TYPE ` 1 MASS AREA 8 •+ ; - . Interior W. ss/CFA COND..FLOOR MASS AREA 10. Exterior Wall Mass TYPE 2 AREA 9 ND. L OR AREA Sum? -10 11. Heating System F_aterior all Mass x ' iE . S Zonal Control? ( Y / N SEorH6PF [ ] Dura idency [0.78] IiSPFtive SE or 12. Cooling System �� x -®-- Zonal Control? ( Y / N) SF.rx [9.51 Duct Ef iciency [0.74] Effective SEER [7.03] 13. Water Heating - TYPe [SGI Cnxlit (novel Point Total. w 1